Trilliant Health's annual trends report traces primary care shortages, payment gaps and looming price caps to incentives no single stakeholder has reason to fix.

A simple break-even calculation turns a reimbursement advantage into staff minutes, showing practices when prior authorization, denials and uncollected patient balances wipe out a better rate.

Recent CMS rule changes reinforce that operational discipline is increasingly shaping reimbursement

Medical Economics spoke with Monique Delgado, former CEO of Integrated Medical Services, about where salary-only pay falls short, which metrics to tie incentives to and how to change physician pay without eroding trust.

Coding scrutiny, payment gaps and a push for price caps show up across Trilliant Health's annual look at where U.S. health care is headed.

EBRI data show employer plans pay hospital outpatient departments about twice what physician offices receive for the same physician-administered drugs, and the commercial market has barely begun to address the gap.

From a same-day payment cut to AI-run prior authorization in traditional Medicare, MGMA's government affairs team laid out what Washington has in store for physicians next year.

Urban Institute analysis finds 26% of insured adults owe medical debt, with hospitals the largest source